Dealing with tuberculosis: factors of the tuberculosis medication adherence among marginalized communities: a scoping literature review

Shamema Nasrin, N. M. Rabiul Awal Chowdhury


Marginalized communities have a prolonged experience of Tuberculosis (TB) with high prevalence. The rationalization behind the high rate is often indicted due to low medication adherence and its cultural and economic aspects. This scoping literature review assessed the influencing factors of patient TB medicine adherence, examined the conceptualization of factors, and determined the gaps related to TB medicine adherence presented in the empirical studies. Three electronic databases had been searched for selecting relevant studies published from 2000 to 2020 March. Studies associated with original research, review, classical and comparative articles on infectious TB in marginalized communities were considered under selection criteria. Finally, thirty articles met the inclusion criteria throughout the Prisma flow diagram; charting table and study characteristics have formed; results were discussed based on the study findings. Indigenous people, ethnic minorities, migrant communities, homeless, prisoners, alcohol and drug users, foreign-born, the working class, sex workers, and immune-compromised individuals suffer more from TB than the mainstream population. The concept of TB medication adherence has been illustrated as a socio-cultural and economic problem, personal beliefs, and the TB recipient's practices regarding illness and health-seeking behaviors. Most of the studies focused on the subjectified experiences of people because the 'recipient's/ patient's perspectives' on medicine adherence were being viewed by outsider’s approach. Few studies recommend prospective learning from the recipient's point of view; examine and conceptualize the political-economic factors for intensifying medication adherence. These records may use further to perform and estimate programs for better health consequences.


Tuberculosis, Adherence to medication, Marginalized communities, Anthropology, Scoping review

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